Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.54 / $2,816.39 / $7,678.49	Facility		$359.54	$2,816.39	$7,678.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $81.27 / $166.43 / $334.13	Facility	52	$81.27	$166.43	$334.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.51 / $66.56 / $110.84	Facility	53	$32.51	$66.56	$110.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $237.63 / $719.25	Professional		$73.09	$237.63	$719.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $133.68 / $344.41	Professional		$68.62	$133.68	$344.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,189.00 / $4,636.00	Facility		$1,651.00	$3,189.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.43 / $357.18 / $841.36	Professional		$274.43	$357.18	$841.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.67 / $1,716.00 / $6,213.00	Facility		$194.67	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $194.67 / $194.67 / $551.33	Professional		$194.67	$194.67	$551.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $4,612.43	Facility		$232.12	$232.12	$4,612.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $426.21 / $951.84	Professional		$168.85	$426.21	$951.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $233.80 / $518.72	Facility		$156.00	$233.80	$518.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.12 / $415.78 / $739.54	Professional		$194.12	$415.78	$739.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.80 / $340.80 / $639.45	Facility		$340.80	$340.80	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.37 / $621.04 / $1,044.95	Professional		$302.37	$621.04	$1,044.95
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $121.37 / $166.56 / $440.16	Professional		$121.37	$166.56	$440.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.39 / $1,716.89 / $3,664.32	Facility		$756.39	$1,716.89	$3,664.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.95 / $261.80 / $546.15	Professional		$177.95	$261.80	$546.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $1,340.95 / $5,855.00	Facility		$232.12	$1,340.95	$5,855.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $185.13 / $483.78 / $950.29	Professional		$185.13	$483.78	$950.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.61 / $426.00 / $1,034.88	Professional		$298.61	$426.00	$1,034.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.26 / $164.26 / $670.97	Facility		$164.26	$164.26	$670.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.37 / $587.87 / $1,044.95	Professional		$302.37	$587.87	$1,044.95